Pilot of Supportive Visitation Services (SVS) Bidder’s Conference REQUEST FOR PROPOSAL Pilot of Supportive Visitation Services (SVS) in Atlantic County December 20, 2017

Bidder’s Conference Welcome/Introductions Purpose Background Services to be Funded County Placement Data Questions and Answers 2

Purpose Goal: Increase availability of high quality supportive visitation services Expand SVS Pilot into Atlantic County (One provider) Note: Providers with existing contracts to provide visitation services to CP&P in Atlantic County MUST apply and be selected for this opportunity in order to continue providing visitation services. 3

DCF’s Operating Areas New Jersey Department of Children & Families Children’s System of Care Child Protection & Permanency Family & Community Partnerships New Jersey Department of Children & Families Division on Women Clinical Services Adolescent Services 4 4

How CP&P Serves Children and Families Internal Case Practice Model External Purchased Services 5

CP&P External Purchased Services Children’s System of Care Child Protection & Permanency Family & Community Partnerships New Jersey Department of Children & Families Division on Women Clinical Services Adolescent Services Office of Strategic Development 6 6

Federal and State Convergence Field and funding is moving towards the integration of evidence-based models DCF Strategic Plan Priority - continue to transition service array to research and evidence-supported service models using an implementation science framework approach DCF’s Office of Strategic Development is charged with modernizing the service array by applying the best available evidence and developing solutions to address the needs of children, youth and families. 7

CP&P External Purchased Services 864 providers in the community that we purchase services from Core Services Purchased: Supportive Visitation Services Family Preservation Services Mental Health Treatment Assessment and Evaluation Supportive Housing Substance Use Disorder Treatment 8

What does DCF contract for? Types of CP&P Visitation Providers Therapeutic Visitation Supervised Visitation “An intensive program which combines family therapy and parent training within a consultative model of service delivery that is both educationally and therapeutically based. Includes parenting instructing pre- and post-visitation” (Anne Henley, Director, Family Solutions, VA) Contact between parents and their children in out-of-home care while in the presence of a specially trained professional who is actively involved in promoting change in parent/child relationships. 9

What does the literature, policy and practice say? Why look at visitation? CP&P core service Challenges Opportunity to move towards evidence What does the literature, policy and practice say? 10

Literature Review Why is family time important? Utilizing Data to Support Advanced Supervisory Practice Literature Review Why is family time important? Child Welfare Outcomes: Increase the likelihood for reunification Reduce placement lengths of stay Decrease chance of re-entry Child Well-Being Outcomes: Lower levels of anxiety & depression Exhibit fewer behavioral problems High well-being ratings & adjust well to placement The visit environment plays a crucial role in supporting positive family interactions. Home-like and other supportive settings are preferable. 11

Weekly visits are the target Weekly visits are the target. But bonding is still challenging even if targets are achieved. Once a week is standard practice in most places. But it’s difficult to bond in only one hour a week. 12

CP&P Policy: Visitation - NJAC 10:122D-1.1 Utilizing Data to Support Advanced Supervisory Practice CP&P Policy: Visitation - NJAC 10:122D-1.1 (a) “each child…shall have the opportunity to visit with parents, siblings and interested relatives. (b) “Visits that are frequent and of long duration are beneficial…and facilitate movement toward achieving…permanency.” “…the goal is to hold a visit every week for a period as long in duration as possible.” 13

Policy meets Practice Recommendations for visitation from area/local CP&P. Safety Transportation Cancellation/ Rescheduling Policy Documentation/ Communication Program Hours Case Goal Restrictions 14

What we learned from the literature and existing practice. Family time is critical No “off-the-shelf” evidence-based or evidence-supported visitation model available CP&P contracts separately for therapeutic and supervised visitation Type of visitation a family receives is based on CP&P and court order or service availability How can we make it better? 15

A Visitation CONTINUUM Includes assessment that drives visitation level(s) to meet family needs. Supervised Visitation: Relatives/Community Partners Supervised Visitation: Contracted Providers/CP&P Child is Reunified/ Discharged from Placement No Visitation/ Unsafe Unsupervised Visitation Therapeutic Visitation: Clinical

DCF’s Vision for Original Pilot (2015) Restructured Supportive Visitation Services Collaborative Assessment, Planning and Re-assessment Processes Visitation Continuum & Post-Reunification Supports Under One Program In-Home/In-Community Visits Flexible hours (evenings, weekends and holidays) Transportation NJS Documentation 17

Restructured Supportive Visitation Services Implementation - Phase 1 Original SVS Pilot - 2015/2016 Two Catchment Areas: Morris and Sussex Counties Passaic County One grantee for both areas Principles of Active Implementation 18

Active Implementation Formula for Success Effective Practices Effective Implementation Enabling Context Improved Outcomes Phase 1 Logic Model Teams Practice Profile 19

SVS Pilot Teaming Structure Enabling Context SVS Pilot Teaming Structure Visitation Implementation Team Visitation Model Design Team Visitation Evaluation Team Visitation Operations/Systems Team Develops visitation practice model Identifies and secures supports for the model Provides input on process and outcome evaluation Develops reporting structure Communication and feedback loops between CP&P and implementing agency Define referral and billing processes 20

SVS Pilot Program Model Components Effective Practices SVS Pilot Program Model Components Visitation Planning Process Initial Intake Assessment Visitation Planning Meeting Supportive Visitation Services along Continuum Ongoing Family Reassessments Post-Reunification Services (Aftercare) Systems Collaboration and Coordination 21

SVS Pilot Practice Profile Components Effective Practices SVS Pilot Practice Profile Components Guiding Principles Collaborative Supportive Flexible Family-driven Community-based, least restrictive Promotes well being Trauma-informed Essential Functions Engaging Assessing Active listening Teaming Therapeutic intervening Coaching 22

Active Implementation Moving into the Next Phase Effective Practices Effective Implementation Enabling Context Improved Outcomes Phase 2 Competency Drivers Data 23

SVS Pilot Implementation Supports Effective Implementation SVS Pilot Implementation Supports Enabling Context Capacity to implement SVS program model: Staffing Model Training Plan Coaching/Supervision Evaluation, Data Collection and Reporting Quality Improvement Practices 24

SVS Pilot Funding Fee-for-service model Enabling Context SVS Pilot Funding Fee-for-service model $146.10 for each hour in-person time Includes initial intake assessment, visit planning meetings, supportive visitation services, pre-visit meetings and post-visit debriefs, and aftercare services. Paid via K-100 5% of program director and senior leader salary for agency staff to actively participate in teaming activities Advance funds to cover gradual startup of services/initial billing delays 25

CP&P Placement Data Atlantic County 26

CP&P Placement Demographics Atlantic County 27

CP&P Placement Demographics Atlantic County 28

CP&P Placement Data Atlantic County 29

CP&P Placement Data Atlantic County 30

SVS Atlantic RFP Questions and Answers 1st – Answer submitted questions 2nd – Answer questions from attendees Have technical inquires about forms and other documents? Email DCFASKRFP@dcf.state.nj.us anytime. 31

Proposal Deadline Reminder Bids are due on January 17, 2018 at 12:00 P.M. 32